SHIVA KESHMIRI DDS (PC) SOS Verified
4121 W SAHARA AVE, LAS VEGAS, NV 89102
NPI Number
1396913760
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: SHIVA KESHMIRI, D.D.S. A PROFESSIONAL CORPORATION
Entity Number: C30375-2003
Entity Type: Domestic Professional Corporation
Entity Status: Active
Formation Date: 2003-12-09
Status Changed: 2011-04-19
Name Match: 80%
Registered Agent
Name: GG INTERNATIONAL
Type: Commercial Registered Agent
Address: 6628 SKY POINTE DR. STE 280, LAS VEGAS, NV, 89131
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| President | SHIVA KESHMIRI | 4121 WEST SAHARA AVENUE, LAS VEGAS, NV, 89102 | Active |
| Secretary | SHIVA KESHMIRI | 4121 WEST SAHARA AVENUE, LAS VEGAS, NV, 89102 | Active |
| Treasurer | SHIVA KESHMIRI | 4121 WEST SAHARA AVENUE, LAS VEGAS, NV, 89102 | Active |
| Director | SHIVA KESHMIRI | 4121 WEST SAHARA AVENUE, LAS VEGAS, NV, 89102 | Active |
Total Medicaid Payments
$283,839
-32% vs specialty average
Patients Seen
8,557
Total Claims
11,783
$ Per Patient
$33
Specialty avg: $36
Specialty Rank
#47 of 248
Dentist, General Practice providers in Nevada
Peer Average
$419,652
Average total for Dentist, General Practice
Claims per Patient
1.4
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2018 | $875 | |
| 2019 | $99,483 | |
| 2020 | $89,658 | |
| 2021 | $75,223 | |
| 2022 | $18,600 | |
| 2023 | $0 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| D1120 | Dental cleaning for children (prophylaxis) | 1,611 | $69,910 | 24.6% | $43 |
| D1206 | Fluoride treatment — painted on teeth to prevent cavities | 1,666 | $55,566 | 19.6% | $33 |
| D1351 | Dental sealant — protective coating on a tooth to prevent cavities | 2,135 | $46,239 | 16.3% | $22 |
| D0274 | Dental X-ray — bitewings (four films) | 1,262 | $27,967 | 9.9% | $22 |
| D0150 | Comprehensive dental exam — thorough check of teeth, gums, and mouth | 639 | $20,671 | 7.3% | $32 |
| D1353 | Dental preventive care (cleaning, fluoride, sealant) | 992 | $15,446 | 5.4% | $16 |
| D0230 | Additional dental X-ray | 1,917 | $11,402 | 4.0% | $6 |
| D0120 | Regular dental checkup and exam | 451 | $10,850 | 3.8% | $24 |
| D0220 | Single dental X-ray (of one tooth) | 612 | $7,912 | 2.8% | $13 |
| D2392 | Tooth-colored (resin) filling — two surfaces, back tooth | 128 | $6,309 | 2.2% | $49 |
| D0210 | Full set of dental X-rays | 72 | $3,890 | 1.4% | $54 |
| D0999 | Dental exam, X-ray, or screening | 96 | $2,880 | 1.0% | $30 |
| D0140 | Limited dental exam — for a specific problem (like a toothache) | 73 | $2,028 | 0.7% | $28 |
| D9999 | Other dental service | 94 | $1,880 | 0.7% | $20 |
| D2393 | Tooth-colored (resin) filling — three surfaces, back tooth | 15 | $890 | 0.3% | $59 |
| D1999 | Dental preventive care (cleaning, fluoride, sealant) | 20 | $0 | 0.0% | $0 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.